지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 112 - 115 (4page)
이용수
초록· 키워드
오류제보하기
Gastrointestinal leakage is one of the most serious post surgical complications and is a major source of mortality and morbidity. The insertion of a covered self-expandable metal stent could be a treatment option in selected cases. However, it is unclear how long the stent should be retained to achieve complete sealing, and membrane-covered stents have the problem of a high migration rate. We observed four cases of postsurgical leakage following the primary closure of a duodenal perforation, esophagojejunostomy, and esophagogastrostomy, each of which was successfully managed by the temporary placement of covered stents. In all cases, the optimal time of stent removal could be estimated by the markedly decreased amount of drainage, the lack of leakage observed on radiocontrast images, and the endoscopic findings. In this case series, all of the stents could be removed within 7 weeks. For those cases with a high risk of migration, stents with temporary fixations to earlobes and/or partially uncovered proximal flanges were used. These results suggest that the application of a covered stent could be a treatment option for various gastrointestinal leaks after surgery, particularly when the defect cannot be sealed by conservative care and the leakage has good external drainage.
목차
등록된 정보가 없습니다.
참고문헌 (8)
참고문헌 신청
Doniec JM / 2003 / Therapy of anastomotic leaks by means of covered self-expanding metallic stents after esophagogastrectomy / Endoscopy 35 : 652 ~ 658
Gelbmann CM / 2004 / Use of self-expandable plastic stents for the treatment of esophageal perforations and symptomatic anastomotic leaks / Endoscopy 36 : 695 ~ 699
Kauer WK / 2008 / Stent implantation as a treatment option in patients with thoracic anastomotic leaks after esophagectomy / Surg Endosc 22 : 50 ~ 53
Sauvanet A / 2005 / Mortality and morbidity after resection for adenocarcinoma of the gastroesophageal junction: predictive factors / J Am Coll Surg 201 : 253 ~ 262
Shim CS / 2001 / Fixation of a modified covered esophageal stent: its clinical usefulness for preventing stent migration / Endoscopy 33 : 843 ~ 848
Gelbmann CM / 2004 / Use of self-expandable plastic stents for the treatment of esophageal perforations and symptomatic anastomotic leaks / Endoscopy 36 : 695 ~ 699
Kauer WK / 2008 / Stent implantation as a treatment option in patients with thoracic anastomotic leaks after esophagectomy / Surg Endosc 22 : 50 ~ 53
Sauvanet A / 2005 / Mortality and morbidity after resection for adenocarcinoma of the gastroesophageal junction: predictive factors / J Am Coll Surg 201 : 253 ~ 262
Shim CS / 2001 / Fixation of a modified covered esophageal stent: its clinical usefulness for preventing stent migration / Endoscopy 33 : 843 ~ 848
이 논문의 저자 정보
최근 본 자료
댓글(0)
0